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F9�WWARD - <br /> � NON—HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. -- <br /> cl 14 <br /> r� <br /> FMAIUNG- <br /> ATOR _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT _ <br /> #� T �- �� [ ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> ADDRESS ❑TY-VEK ❑OTHER <br /> SPECIAL HANDLING PROCEDURES <br /> ATE,ZIP _ - ry` - <br /> • PHONE `: <br /> CONTACT PERSON _ f r' C <br /> .fit_ 41 <br /> , LA1 l�t �� _ - y_' -�,{'C <br /> SIG ZURE OF AUTHORIZED AGEN�/TffL'E DATE <br /> W TYPE RECEIVING FACILITY a <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ® DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL El ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY - (209) 982-4298 PHONE <br /> I C 2— "T F\L K �J (209) 982- 1009 FAX <br /> NOTES TRUCK NUMBER <br /> ADDRESS ----- - .._ <br /> + CITYSTATEUZIP � f <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> El El <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATEROLL-0FF(S) . _FIu4T--BED VAR ' "_DRUMS_; , <br /> * 3 ❑ T El 1:1E7 <br /> y <br /> CUBIC YARDS <br /> FORWARD INC. LANDFILL ' s - <br /> Forward shall have no obligation to accept the waste d weather or other <br /> conditions impair the safe and effective disposal of the waste or if the waste z1" <br /> DISPOSAL-METHOD:-7 (TO BE COMPLETEDABY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use Y a. <br /> reasonable efforts to promptly notify Disposer of its inability to accept theISPOSE .BIO AERATE STMKPI_ OTHE13-� <br /> waste for any reason If Forward's refusal to accept the waste is based on a - <br /> weather or other site conditions, Forward shall notify the Disposer when site ❑ SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste E] SLUDGE <br /> r — <br /> REMARKS <br /> ❑ NON-FRIABLE _ <br /> ASBESTOS <br /> FACfLIT_Y_'TICKET NUMBER� ' r-� _ _ <br /> .__ ❑ WOOD <br /> SIG�_ 649 <br /> _OFAUTHORIZED GENT DATE�_.._� ..__�.. _ ----__ ❑ ASH <br /> ti <br /> �! cg_ ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL(209)982-4298 MANIFEST# 14397 <br /> SALES COPY <br />